PRIMARY DUTIESThe Chief Nursing Officer (CNO) is Waco Family Medicine’s senior nursing executive and a member of the Clinical Leadership Team. The CNO leads nursing practice, clinical support operations, workforce strategy, patient safety, and evidence-based standards across all sites, with oversight of nursing leaders and designated clinical support roles. In partnership with the Chief Medical Officer and Senior Director of Clinical Operations, the CNO shares accountability for access, quality, staffing, productivity, and patient experience and collaborates with clinical, operational, quality, population health, SDoH, HR, Finance, IT, and site leaders.Lead nursing and designated clinical support services across all sites, setting goals, policies, scopes of practice, protocols, and standardized evidence-based workflowsEnsure safe, high-quality care through competency validation, clinical supervision, performance monitoring, and continuous improvementOversee infection prevention, medication and vaccine safety, emergency preparedness, incident response, test-result follow-up, care transitions, and other high-risk workflowsUse clinical, operational, workforce, patient-experience, and equity data to identify variation, drive corrective action, and sustain improvementMaintain regulatory and survey readiness, including applicable HRSA, FTCA, Texas Board of Nursing, Texas DSHS, OSHA, CMS, payer, CLIA, PCMH/accreditation, and organizational requirementsSupervise nursing leaders and ensure effective recruiting, onboarding, performance management, retention, staffing, and succession planningPartner with clinical and operational leaders to improve care quality, efficiency, team-based care, staffing, and organizational performanceAchieve annual targets for UDS, HEDIS, value-based care, safety, access, patient experience, utilization, care gaps, and health equityManage staffing models, position control, labor productivity, vacancies, turnover, contingency coverage, and leadership developmentLead nursing and interprofessional education, workflow training, competency programs, career pathways, preceptorship, mentorship, and professional developmentLead nursing quality and safety governance, measures, improvement methods, and corrective-action follow-throughPromote a just culture of safety and ensure timely reporting, investigation, learning, disclosure, and follow-up for concerns and adverse eventsPrepare and manage the nursing budget, labor and overtime, productivity and variances, equipment and capital needs, vendors, and business casesFoster a mission-focused culture of quality, transparency, inclusion, and joy in practiceReport regularly to executive leadership and, as requested, the governing board on quality, safety, workforce, access, productivity, regulatory readiness, and clinical riskOTHER DUTIESProvide occasional patient care or clinical coverage when needed and within current licensure, privileges, and competency; this is not the position’s primary functionPerform other duties as assignedPHYSICAL AND MENTAL REQUIREMENTSFrequent sitting, computer and telephone use, and verbal communicationOccasional reaching, walking, squatting, bending, kneeling, twisting and climbingOccasionally carrying, lifting, pushing and pulling of up to 25 lbs.Ability to conduct regular travel among WFM sites; valid driver’s license and insurability when driving is requiredPhysical accommodations will be implemented where necessary and feasibleREPORTS TO: Chief Clinical OfficerEDUCATION & EXPERIENCEBachelor of Science in Nursing from an accredited school of nursingCurrent, unrestricted Texas RN license in good standing, or eligibility to obtain one by the start dateCurrent BLS certification; ACLS certification required only when necessary for assigned clinical dutiesSeven years of progressive nursing leadership, including three years in multi-site ambulatory, primary care, or community health operationsDemonstrated leadership in quality improvement, patient safety, clinical risk, and performance improvementPreferred:Master’s degree in nursing, healthcare administration, public health, business, or a related fieldCENP or NEA-BC certificationExperience with FQHCs, HRSA, FTCA, PCMH, UDS, HEDIS, and value-based careSKILLSExcellent communication, relationship-building, and conflict-resolution skillsAbility to prioritize, solve problems, delegate, and lead projects to completionStrong team leadership, personnel management, and change-management skillsProficiency with office software, EHRs (e.g., Epic), clinical analytics, dashboards, and technology-enabled workflows